Purpose Educators increasingly use virtual patients (computerized clinical case simulations)
in health professions training. The authors summarize the effect of virtual patients compared …

Long hours are an accepted component of resident education, yet data suggest they
contribute to fatigue that may compromise patient safety. A systematic review confirms that …

Background Extensive literature documents personal distress among physicians and a
decrease in their satisfaction with the practice of medicine over recent years. We …

Objective: The overall purpose was to understand the effects of handoff protocols using meta-
analytic approaches. Background: Standardized protocols have been required by the Joint …

Background Despite the importance of feedback, the literature suggests that there is
inadequate feedback in graduate medical education. Objective We explored barriers and …

Residency training is a challenging period in a physician's career owing to a multitude of
stressors perhaps not previously encountered. In some cases, these stressors may …

BACKGROUND The ability to copy and paste text within computerized physician
documentation facilitates electronic note writing, but may affect the quality of physician notes …

Long work hours, overnight call duty, and rotating shifts are implicit features of hospital
medical practice. Rigorous schedules have been deemed necessary to fulfill the …

Importance The patient-physician clinical encounter is the cornerstone of medical training,
yet residents spend as little as 12% of their time in direct patient contact. Objectives To use a …

Context Further restrictions in resident duty hours are being considered, and it is important to
understand the association between workload, sleep loss, shift duration, and the …